Antibiotics utilization during the war period: influence of drug donations.
The purpose of the present study was to investigate the antibiotics utilization in the University Hospital Center of Rijeka (UHC), with capacity of 1566 beds, during the period of 4 years (1990-1994). The data concerning the antibiotics utilization were collected from a hospital pharmacy record and calculated as the defined daily dose (DDD) per 100 bed days. Total antibiotics use decreased continually from 1990 through 1994. According to our study, metronidazole became the most frequently prescribed antibiotic. Comparing the 1994 to the 1990 antibiotics utilization, we may notice an outstanding decrease in cotimoxazole, ampicillin and cefalexin utilization and an increase in amoxicillin + clavulanic acid, gentamycin and cefuroxime (there are no tetracyclines among the 10 most frequently prescribed antibiotics). The changes noticed in the use of antibiotics are partly caused by changes in therapeutic principles, but we consider drug donations as the most important factor. Drug donations have retained the treatment quality of our patients in very difficult conditions in Croatia during the war period.
Vlahović Palcevski
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Scientific Unit, University Hospital Center of Rijeka, Croatia. vera.vlahovic-palcevski@mamed.medri.hr
Vitezić
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Palcevski
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D019980:Amoxicillin-Potassium Clavulanate Combination / Q000627:therapeutic use; D000667:Ampicillin / Q000627:therapeutic use; D000761:Anesthesia Department, Hospital / Q000706:statistics & numerical data; D000900:Anti-Bacterial Agents / Q000008:administration & dosage / Q000145:classification / Q000627:therapeutic use*; D000890:Anti-Infective Agents / Q000627:therapeutic use; D002444:Cefuroxime / Q000627:therapeutic use; D002506:Cephalexin / Q000627:therapeutic use; D002511:Cephalosporins / Q000627:therapeutic use; D003422:Critical Care / Q000706:statistics & numerical data; D017523:Croatia / Q000453:epidemiology; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D004363:Drug Utilization / Q000706:statistics & numerical data; D005839:Gentamicins / Q000627:therapeutic use; D006746:Hospital Bed Capacity, 500 and over; D006753:Hospital Records / Q000706:statistics & numerical data; D006785:Hospitals, University; D006801:Humans; D007391:International Cooperation; D008795:Metronidazole / Q000627:therapeutic use; D010406:Penicillins / Q000627:therapeutic use; D010607:Pharmacy Service, Hospital / Q000706:statistics & numerical data; D011787:Quality of Health Care; D012066:Relief Work; D013503:Surgery Department, Hospital / Q000706:statistics & numerical data; D015662:Trimethoprim, Sulfamethoxazole Drug Combination / Q000627:therapeutic use; D014857:Warfare
D000900:Anti-Bacterial Agents; D000890:Anti-Infective Agents; D002511:Cephalosporins; D005839:Gentamicins; D010406:Penicillins; D008795:Metronidazole; D019980:Amoxicillin-Potassium Clavulanate Combination; D000667:Ampicillin; D015662:Trimethoprim, Sulfamethoxazole Drug Combination; D002444:Cefuroxime; D002506:Cephalexin